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278 NE 97 St (11)/ g MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / /015 Type Insp'n r1 no 1 k1 ±Cher Permit No. PLO CX)4 - 3 L 0 Name 5rec30 ✓y KeJ l) f I 1 I'r Address 2�S 1•.1E f 5T CompanyPrCD fiC) P I Vr- y 4 = Phone # 305) 8=12 -- ZZS Inspection Date Approved Correction Re- Insp'n Fee 21 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /l 1 / o5 Type Insp'n EOU �' I in Permit No. PLO — 310 Name r9Ory M r ` Ic r Address 2-7-8 NE 3T . Company iron to Pw{n bi n Phone # g 814- 334q Inspection Date c6A3D/ Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Cc / iInsp'n 5 Permit No. PL---!L- 3 ft ) Name `- %‘r "°'; ( -IC/ `i F:- ,(Z; i •,_", .1 1 ; I -(.' ! Address 2 .12) t E , Company 1 , \-1 Phone # ) — Thf fm. Inspection Date 2 - i Approved tj N Correction a , Re-Insp'n Fee fJ Permit No " . —/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /t/ 7 —SJ o -- 3 v Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 4 2_,./ f Registered Architect and /or Engineer Employing a Plumber's Name....,�� _-- �_...f 5 ,4r Location and Legal Description Lot_ Blaxk Street and Number where work is to be perfo reed —No State work to be performed and purpose of building (By Floors) -_. New Building _- Remodeling___ — _ -__ -- Addition..__..._ Repaira No. of Stories Size Septic Tanlc_.-------- ______________ - -.Type of Tonk.__ Feat of Drain Tile._. __ _ _— —Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City— Well..__---- _-- _--- - ----- ______Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 5,00 /7 /A1 My Commission Expires . — (Signed)_ _ (Signed ) Date No. -a 7f Street_./✓. _Z..9 5 T . Street Capacity Gala. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati a ©s an employer of labor under the Florida Workmen's Compensation Act, being Section 5 .., Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this perinit, as are licensed by Miami Shores Village. - Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...- - -. --- •. - -•.-- ._. - -- - -• _ ....._ _.. of the above described construction, that he has carefully mad the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. Notary Public, State of Florida thnbing II pecto Muter Plumber. NOTE: A re- inspection fee of 51.E evil! be mode when Reda minspection is made'neoessan' by improper notice for inspection, or faulty materials and /or worknsanship. TOTAL FIXTURES CLOSETS BATH TUBE SHOWERS LAVA TORIES G SLOP BINKID LANDRI' U Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT1N6 ,.�� cetera. LIST CHECK a 0 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP 'SOLAR H EATER DEEP WELL 8 ►RKLR. SYSTEM SWIM'® POOL CONTR. _.. -... _. ._ _...� LIST CHECK _...... _ -... .. Permit No " . —/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /t/ 7 —SJ o -- 3 v Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 4 2_,./ f Registered Architect and /or Engineer Employing a Plumber's Name....,�� _-- �_...f 5 ,4r Location and Legal Description Lot_ Blaxk Street and Number where work is to be perfo reed —No State work to be performed and purpose of building (By Floors) -_. New Building _- Remodeling___ — _ -__ -- Addition..__..._ Repaira No. of Stories Size Septic Tanlc_.-------- ______________ - -.Type of Tonk.__ Feat of Drain Tile._. __ _ _— —Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City— Well..__---- _-- _--- - ----- ______Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 5,00 /7 /A1 My Commission Expires . — (Signed)_ _ (Signed ) Date No. -a 7f Street_./✓. _Z..9 5 T . Street Capacity Gala. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati a ©s an employer of labor under the Florida Workmen's Compensation Act, being Section 5 .., Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this perinit, as are licensed by Miami Shores Village. - Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...- - -. --- •. - -•.-- ._. - -- - -• _ ....._ _.. of the above described construction, that he has carefully mad the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. Notary Public, State of Florida thnbing II pecto Muter Plumber. NOTE: A re- inspection fee of 51.E evil! be mode when Reda minspection is made'neoessan' by improper notice for inspection, or faulty materials and /or worknsanship. ;UILDING ❑ =LECTRICAL ❑ 'LUMBING tiOOFING ❑ El honer of luilding architect ; ontractor T Builder .egal Lot )escription address of uilding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6661 DATE 195 Contractor's License No. Work to be performed under this Permit B1 Subdi- vision Va:.ue of Project $ I 11 Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans rawings, statements or specifications that may have been submitted to and approved :Dy the proper municipal authorities. This Permit may be revoked at any ine if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ortaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. Signed BY • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulationo rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• ,pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY LIST CHICK Permit No — MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans a :ad specifications herewith ubmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores 'Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address C ___t-- _- __------ ___ -_ No. Registered Architect and /or Engineer____ —__ _ Amount of Permit -- - - -_ STATE OF FLORIDA, 1 COUNTY OF DADE. Employing Plumber's Name_ _ ______ vg � % ` - No.-.`s e Street-,- Location and Legal Description Lot-------------- __- --..__ Block_ ` , 17 f 2� Street and Number where work is to be performed —No �` � E - Street ") `-I Date._ Street State work to be performed and purpose of building (By Floors)-- ------------ _---- -_..._ New Building__________._ Remodeling___— ____ __ Addition__._____.____________ __ Repairs No. of Stories. Size Septic Tank- ... _Type of Tank___ -- Capacity Gals Feet of Drain - __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well ._- ----- _-- _--_- _-- __ —_ -_ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per> nent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, , on work to be performed under this permit, as are llceased by Miami Shores Village. (Signed)... Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is madee• necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS B BATH L SHOWERS LAVA- S SINKS S SLOP L LAUNDRY U U RINALS C CATCH F FLOOR D DRINK N6 T CCNTR. LIST CHICK SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SWIM'G CONTR. Permit No — MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans a :ad specifications herewith ubmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores 'Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address C ___t-- _- __------ ___ -_ No. Registered Architect and /or Engineer____ —__ _ Amount of Permit -- - - -_ STATE OF FLORIDA, 1 COUNTY OF DADE. Employing Plumber's Name_ _ ______ vg � % ` - No.-.`s e Street-,- Location and Legal Description Lot-------------- __- --..__ Block_ ` , 17 f 2� Street and Number where work is to be performed —No �` � E - Street ") `-I Date._ Street State work to be performed and purpose of building (By Floors)-- ------------ _---- -_..._ New Building__________._ Remodeling___— ____ __ Addition__._____.____________ __ Repairs No. of Stories. Size Septic Tank- ... _Type of Tank___ -- Capacity Gals Feet of Drain - __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well ._- ----- _-- _--_- _-- __ —_ -_ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per> nent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, , on work to be performed under this permit, as are llceased by Miami Shores Village. (Signed)... Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is madee• necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. Size Septic Tank Feet of Drain Tile Amount of Permit $ Owner's Name and Address Registered Architect and /or Engineer ,% Employing Plumber's Name C Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A oopy of approved plans and specifications must be kept al building during progress of work. No._... Street • No.. Street Subdivision Location and Legal Description Lot. - - -__ Block. ------_• - ---- ._____ -- Street and Number where work is to be performed —No. tijA _ � � Street L_ State work to be performed and purpose of building (By Floors) *epairs No. of Stories New Building Remodeling Addition.___ Type of Tank_ — Capacity Gals.__ Dist. Feet of Tank or Drain Field from 'Well Size of Soakage Pit (Signed)._ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. (Signed) Date ___ ii STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS INK SLOP SINKS LAUNDRY TUBS RINAL8 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE! CONTR. LIST CHECK CHECK _ - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. Size Septic Tank Feet of Drain Tile Amount of Permit $ Owner's Name and Address Registered Architect and /or Engineer ,% Employing Plumber's Name C Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A oopy of approved plans and specifications must be kept al building during progress of work. No._... Street • No.. Street Subdivision Location and Legal Description Lot. - - -__ Block. ------_• - ---- ._____ -- Street and Number where work is to be performed —No. tijA _ � � Street L_ State work to be performed and purpose of building (By Floors) *epairs No. of Stories New Building Remodeling Addition.___ Type of Tank_ — Capacity Gals.__ Dist. Feet of Tank or Drain Field from 'Well Size of Soakage Pit (Signed)._ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. (Signed) Date ___ ii STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING 14 ‘) Architect Contractor ) or Builder • Legal Description Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of , Building Work to be performed under this Permit__ NC 7147 Subdi- vision ' DATE t 19 Contractor's License No. ' • / A Address of ..., r Value of I i Amount of 7 --- Building • .--, . i ..- ■ Project $ I I Permit $ -...,, This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. , Si ' gned. ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances aid regulations pertaining thereto and in strict conformity with the plcms, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No.- . -- - --- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and dam D r egu la tio ns of cation ui mwi ng D of o f.Miami Shores Village shall be complied with, whether berein specified or not. A copy of building t building duriffig prof of work. �. t .. ,GC ��1 '--r . -. No.—.1,.... � — Street-. " a Owner's Blame and Address._. y ,// p -- .. /7i h t 7 Registered Architect and /or Engineer.._L� G '�, ; � .�..�,. �`�T�, ... � F '� )p �(0 g �lt .7 s/ re r!Yl�.t s ! /f _ -----_47,40--.6-f-°5- - -, N 2 e� Snbdfvlsian.. /- ���C�1 • oca i an d Legal �tion Lot._ :J �" . at Bloom---- --- - -- 1/ Street .-..._ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT My Commission Expires Street and Number where work is to be performed -No. State work to be performed and purpose of building (By Floors )- _.. Remodeling_- - - - -- Addition.. _..-- .--- -..... Repairs New Building----- ._._.__.._...... URINAL* 6 SYRIAN CATCH SA•IN Size Septic Tank..------- - _Type of - -• Tank--- - Tile. — _—Dist. Feet of Tank or Drain Field from Well..._.-- .. --- - -. Feel of Drain ' -- _ -Stye of Soakage Pit. Nature of Water Supply: City -Wei - - ----- DRINKING FOUNT'N• L 9_- No. of Stories ............. BATH Tue• SNOWtR• LAVA• TORIIS *INK• SOAKAGS PIT SLOP' SINKS SOUR F4SAT•R LAUNDRY Tuns DtV WILL FLOOR DRAIN Notary Public, State of Florida Notary Public, State of Florida I TOTAL PIIITURIS SY,1N'G POOL _ _ Permit 9i ^GtiO �ed )- `_-- - n t - -' — -- (S The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workanen s Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and IIa' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worlr to he performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as ore required by the Act. The undersigned agrees to employ only such sub- contractats, on work to be performed under this permit, as are licensed by Miami Shores Village. Plumbing Inspector. (Signed) 8Y0 3 5 -11-- Muter Plumber. STATE OF FLORIDA, COUNTS OF DADE. ` Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared deposes and says that he b the . -_ --- ._.- _ -• -•• _ . ._.. to me well 1mown, and who, being by me first duly sworn, upon o r� application, and that he did sign the lama, and that all facts of therein by above him stated �are �s that he has carefully read the foe My Commission Expires fee of 81.00 will be road. whoa .14) misipaoliaa 'b Gads' naosnary by Improper notion for 6tsp•ctioes, or faulty materials an /cv OffiliONO miuspection Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ____ _______ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. .....-:-. "..,---.• CLOSETS BATH TUBS SHOWERS LAVA- TORIES SIN SLOP SINKS LAUNDRY Toes us INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS ___ TOTAL FIXTURES -...-.....-- CONTR. LIST 1 - CHECK ...-- SEPTIC TANK SEWER CONN. J DRAIN FIELD ■I SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM •G POOL cowrie. Liar CHECK - .......... Amount of Permit $. Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. I Permit No._ _ Date 1- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at huilding during progress of work. Registered Architect and/or Employing Plumber's Name. Size Septic Feet of Jran Tile_ Nature cf Water Supply: City MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.___. Location and Legal Description Lot _ Block Subdivision Street and Number where work is to be performed—No " _L_ 1° - ',/ Street State work to be performed and purpose of building (By Floors)_ _ New Building____ ________ Remodeling_ _ Addition Repairs No. of Stories.. Type of Tank No.__ Street Capacity Gals. _Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit ( Signed )_ ' Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of tbe above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re-inspection fee of 81.00 will be made when such re-inspection is made • necessary by improper notice for inspection, or faulty materials and/ce. workmanship. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/5/2004 Applicant: Owner: JOB ADDR Contractor P Local Phone: 30 Parcel # 113206C Fees: FEE2004 -10951 FEE2004 -1095/ FEE2004 -10958 FEE2004 -10959 FEE2004 -10960 Permit Status: APPROVE Signed: (INSPECTOR) ..,,Et005 Construction Value: $800.00 Work: INSTALL KITCHE■ oiSHWASHER. MOVE ROUGH IN 3 FT TO SOUTH WALL OF KITCHEN. Signed: (Contractor or Builder) BY: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. ADDENDUM TO BUILDING PERMIT APPLICATION (AN' APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED; OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) v y h PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER / RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR - RANGE TOP UNDERGROUND TANKS LAVATORY ' OVEN ABOVE GROUND TANKS LAUNDRi' TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHOWER / MOTORS OVER 1— _3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3— 5 HP MECHANICAL VENTILATION , SINK, RESIDENCE ' MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP 4/ , � MOTORS OVER \ 8— 10 HP ELEVATORS/ESCALATORS TEW0RAR`( WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS URINAL . MOTORS OVER 25 -100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP ;. VIOLATION .> INDIRECT RTES- ` A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS � ' A/C UNIT STRIP HEATER ` FIRE SPRINKLER GENERATORS TRANSFORMERS i 'HEATER —NEW INST. GENERATORS TRANSFORMERS HEATER — REPLACE ■ GENERATORS .TRANSFORMERS 1 ' LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIWING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY — SEWER , SIGN TIME CLOCK UTILITY —WATER FIXTLRES SEPTIC TANK ANTENNA RELAY .' TELEVISION .OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION m' SOAKAGE PIT CU. FT. - CATCH BASIN c ' DISCHARGE WELL DOMESTIC WELL AREA'DRAIN • ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE €TER SET (GAS) LS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN' APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED; OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) v y h PLUMBING ELECTRICAL MECHANICAL BUILDING PERMIT APPLICATION FBC 2001 Permit No. 1 9f'r `') Master Permit No. We' (ett-144tq Permit Type (circle): Building Electrygl Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Owner's Address / ) i L 't 7 City , -t s State f � � Zip Tenant/Lessee Name Job Address (where the work is being done) %? 4 y, `( +- f City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name I ii ,v? `a . . , i i � Contractor's Address i J_/' 3 p c- i d lc ' Cit t1, lit Z,('',/: 4, 4111 - State ,i ii ��" Qualifier Ara _!�'!f, .�'�" ///.../4."',, , / g. S Value of Work For this Permit Describe Work: /",/,14 ; Code Enforcement $ Total Fee rTow Due $ (Continued on opposite side) Miami Shore Village ' Department X050 N.E.2nd Avenue, Miami Sharps, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 County Miami -Dade Zip r Phone # y t'�I' f f �''r _ � Phone # Phone # 3 (- z� Z ip_ State Certificate or Registration No. (7 ) . ' '2 � Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: 1 ype of Work: ['Addition LlAlteration ❑New k] ...Repair/Replace ❑ Demolition / i r e „," in 6 f' o ' p" j ' ' %.�i / d r i; y /n,1 ; ,,f ... A L r * * * * * * * * *, , * * * * * * * *, , , * *Wfa *, Fees * *, , * * ** * * * * * ** * * * ** ****** **** l Structural Plan Review. $ Submittal Fee $ Permit Fee $ �� CCF $ CO /CC Notary S Training/Education Fee $ `' Technology Fee $ . Scanning S Radon $ Inning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs sev,t' (7) days after the building permit is issued. In the l Bence of such posted no inspection will not be approved and a re.aspection fee will be charged. Signature ,y Contractor ■f The fore_ oing instrument was acknowl ged before me this P The foregoing instrument wass dged before me this Off by day ofC , 2001`-', �� b or who has prod d who is personally knows to m As identification and who did take an oath!'*- — 7 - 0 as Wenn ication and who did take an oath. o is personally known day of NOTARY APPLICATION APPROVED B Chc 05/13/03 fi NOTARY PUBLIC: �� , tinny onei1 +� Commion � 0 ���*•• �'�"Rf a I[it ,0 (� `��i'tr f� l> '' „ Expires: ssi l tlinE61 201��C � �t� �.`r L.O. Bonded Thn � t11 Atlantic h ,C * 0 ., Inc. * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * **' * ** ** ******::***** * ***** ** ****** * *** * *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Building Electrical I Plumbing ) Mechanical Owner's Name (Fee Simple Titleholder) '1A- \ \ `t Owner's Address l f Permit Type (circle): City 0, _ a GL_ t �t 'L _ `; State . 0 ' ( Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name ltx ca' 1‘7001, rii /C( ALL 1 Contractor's Address City Qualifier $ Value of Work For this Permit Miami Shores Village Building Department State f 1 p otO/lf�/ibiii5 ' \L,4e Education/Training Fee $ Tech $ Code Enforcement $ Bond $ Permit No. P(-- 5 '- —' Master Permit No. Phone # Zip Phone # Roofmg C ' `T ( Zip ) '�_ Phone # c;16 _t t ). Zip ! fr Architect/Engineer's Name (if applicable) Phone # Architect/Engineer's Address City State Zip Square Footage Of Work: Number of: Bays Stories Families Bedrooms Type of Work: ❑Addition DAlteration ❑New ❑ Repair/Replace Describe Work: Pt( County Escrow Fee $ (Y_. Permit Fee $ 1 / r Notary $ Scanning $ Struct. $ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Baths ❑ Demolition Radon $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate'permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ` iI Signature :\ � 1\1;1 ' Owner or Agent The foregoing trument was acknowledged before me this day o 2t, by fJ who is personally wn_ aee Signature C J 2 , _ Contractor The foregoing instrument was acknowledged before me this day of i2bei , 2[U, by who is p - nally known to me or ok `'d°;t ,and ho did take an oath. F, Ir+ s O T/ c ; , • ` • , NOTARY P Xe Print. rfi k Print: e. ` /r ' '� ,ir My Commission - MT fl . t My Co mmiss • T 64 * * * * * * * * * * * * * * * ** l o.. �, „ * , ; ��y4�*** tt*, t***....**, r, t * * *,tt,t *t *,r * * * *tt.... *+t,t,t, ..., f ,, #01 * * *.... * *,r * *rt * * * * * * *# t n (Certificate of Competency Holder) State Certificate or Registration No. ,` Certificate of Competency No. as produced ho didtake an oath. t t APPLICATION APPROVED BY: chc7n103 • Plans Examiner Engineer Zoning [EM 4TH 1UB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGt{T OUTLETS CENTRAL HEATING ISMyASNER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) KINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIR/O'ER CHANGE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GROUND TANKS AUNORY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS .HOY(ER MOTORS OVER 1- 3 H? HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES :INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EIPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS IRIHAL MOTORS OVER 25-100 HP COOLING TOWERS iATER CLOSET MOTORS OVER 100 HP VIOLATION 'hDIRECT A/C WINDOW REINSPECTION IATER SUPPLY TO: AIR CONDITIONERS . A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFCRMERS HEATER - REPLACE PSI"l , 0 ' GENERATORS TRANSFORMERS LAWN SPRINXLER -WELL 1 SPECIAL PURPOSE . SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY -SEWER SIGN TIME CLOCK RILITY -WATER _ FIXTURES ;EPTIC TANK ANTENNA IELAY TELEVISION OUTLETS )RAINFIELD, 4' TILE/RES. VIOLATION UP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. :ATC1 BASIN )ISCHARGE WELL 0MESTIC WELL &REA DRAIN 100F INLET 30LAR WATER HEATER ` =IRE STANDPIPE 'OOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE ZTER SET (GAS) 3AS PIPING • ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/11/2003 Applicant: ARTLES MICHELLE FITTS Owner: FITTS ARTLES MICHELLE JOB ADDRESS: 278 NE 97 ST Contractor Local Phone: 786 -553 -5424 Parcel # 1132060133990 Fees: Description Amount FEE2003 -8123 Building Fee $140.00 FEE2003 -8124 CCF $1.80 FEE2003 -8125 Training and Education Fee $0.60 FEE2003 -8126 Technology Fee $3.50 Total Fees: $145.90 Total Fees: $14 9 Total Receipts: $00 qS G D 0 Permit Status: APPROVED Permit Expiration: 6/6/2004 Construction Value: $2,400.00 Work: REPLACE SHOWER PAM, INSTALL PAN FOR WATER HEATER AND DRAIN LINER Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Plumbing Permit Permit Number: PL2003 -333 Contractor's Address: 900 NW 144 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AiviD PO 10 -70 LOT 3 & E1/2 OF LOT 4 BLK 30 LOT SIZE DEC 1 PAID MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 2 T Type Insp'n Permit No. Name Address Compa y Phone # OS ForInspectord Approved Correction ❑ Re- Insp'n Fee ❑